Discuss NABP NAPLEX Exam Topic 3 Question 89

Your patient is a 43-year-old male who is experiencing post-operative voiding difficulty after an elective inguinal hernia repair. His post void residual volume was 280 cc.

Which of the following medications is the most appropriate choice of therapy for this patient?

Suggested Answer: E

Cefazolin or an antistaphylococcal penicillin (oxacillin or nafcillin) is recommended for this patient because the C&S results indicate MSSA. Since the patient develops a rash to penicillins, it would be acceptable to use cefazolin in this case.

https://academic.oup.com/cid/article/59/2/e10/2895845/Practice-Guidelines-for-the-Diagnosis-and

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35 comments · newest first

Evangelina 10 months ago

280 cc residual? Wow, that's a lot!

Deane 11 months ago

Finasteride? That seems off for voiding issues.

Sheridan 11 months ago

Really? I thought oxybutynin was more common for this.

Clay 11 months ago

Totally agree, it's the best choice here!

Lamonica 11 months ago

Bethanechol is usually the go-to for post-op urinary retention.

Mauricio 12 months ago

I vaguely recall that Finasteride is used for BPH, but I'm not confident about its role in post-operative cases. Would it even help?

Marg 12 months ago

I practiced a similar question where we had to choose a medication for urinary retention, and I think it was also Bethanechol. It makes sense here too, right?

Brinda 12 months ago

I'm not entirely sure, but I feel like Oxybutynin is more for overactive bladder, not retention. Maybe I should double-check that.

Blondell 1 year ago

I remember discussing post-operative urinary retention in class, and I think Bethanechol might be the right choice since it stimulates bladder contraction.

Billy 1 year ago

I'm leaning towards Imipramine. It has anticholinergic effects that could help with the voiding difficulty, but I'll need to double-check that.

Lezlie 1 year ago

Bethanechol seems like the best choice here. It's a cholinergic agent that can help stimulate bladder contraction and improve voiding.

Felton 1 year ago

I'm a little unsure about this one. I know the patient had a high post-void residual, but I'm not sure which medication would be the most appropriate.

Alex 1 year ago

Okay, I've got this. The key is to choose a medication that will help with the post-op voiding difficulty, so I'm going to focus on that.

Jeanice 1 year ago

Hmm, this one seems tricky. I'll need to think through the post-op voiding issue and the medication options carefully.

Loreen 1 year ago

Okay, let me think this through. The question is asking about the DNS record type that specifies an alias, and based on that, I believe the correct answer is CNAME. I'm feeling pretty confident about that.

Aide 1 year ago

Oh man, this is a real bladder-buster! I'm gonna have to go with D) Finasteride. It's got that 'fin' in the name, so it must be the right choice, right? *wink wink*

Margot 1 year ago

This is a tough one, but I think the answer is E) Imipramine. It's a tricyclic antidepressant that can also help with urinary retention. Gotta love those multi-purpose drugs!

Nikita 1 year ago

↳ replying to Margot

I agree with you, E) Imipramine can definitely help with urinary retention. It's a good choice for this patient.

Malcolm 1 year ago

↳ replying to Margot

I would go with B) Oxybutynin. It's an anticholinergic medication that can help relax the bladder muscles.

Jesus 1 year ago

↳ replying to Margot

I think A) Bethanechol would be a better choice. It's a cholinergic agonist that can help with bladder emptying.

Thurman 1 year ago

↳ replying to Margot

I believe the correct choice is E) Imipramine. It can help with urinary retention and has other benefits as well.

Becky 1 year ago

↳ replying to Margot

I would go with B) Oxybutynin. It's an anticholinergic medication that can help relax the bladder muscles.

Reuben 1 year ago

↳ replying to Margot

I think the answer is A) Bethanechol. It's a cholinergic agonist that can help with urinary retention.

Alesia 1 year ago

I'm going to have to go with A) Bethanechol. It's a cholinergic agent that can help stimulate bladder contractions and improve voiding.

Gail 1 year ago

↳ replying to Alesia

I think Bethanechol is the best option for this patient's post-operative voiding issue.

Jettie 1 year ago

↳ replying to Alesia

I agree, Bethanechol can definitely help with voiding difficulty.

Keena 1 year ago

↳ replying to Alesia

Bethanechol is a good choice for improving bladder contractions.

Antonio 1 year ago

Hmm, this seems like a tricky one. I'm leaning towards B) Oxybutynin since it's commonly used to treat urinary retention, but I'm not 100% sure.

Alise 1 year ago

↳ replying to Antonio

That's true, Bethanechol can help with bladder emptying. It could be a good choice too.

Veronika 1 year ago

↳ replying to Antonio

But wouldn't A) Bethanechol also be a good option for post-operative voiding difficulty?

Graciela 1 year ago

↳ replying to Antonio

I agree, Oxybutynin is commonly used for urinary retention.

Anglea 1 year ago

↳ replying to Antonio

I think B) Oxybutynin could be a good choice for this patient.

Rory 2 years ago

Why do you think Oxybutynin is a better choice?

Hildegarde 2 years ago

I disagree, I believe Oxybutynin would be a better option for him.

Rory 2 years ago

I think the most appropriate choice of therapy for this patient is Bethanechol.

NABP NAPLEX Exam - Topic 3 Question 89 Discussion